A bone fastener includes a receiver defining an implant cavity and having an inner surface defining a slot. A band is disposable within the slot. A spacer disposable within the slot. A crown is rotatable relative to the receiver to translate the spacer relative to the inner surface such that the spacer orients the band in a capture orientation with the shaft. A screw shaft connectable with the receiver by the band and configured to penetrate tissue. Implants, systems, instruments and methods are disclosed.

Embodiments of forming custom interbody implants that may be used to stabilize region(s) formed between mammalian bony segments, including systems and methods to produce a custom interbody element that may be used to stabilize or couple region(s) formed between two or more mammalian bony segments. Other embodiments may be described and claimed.

An improved cage that has an anchoring system and method of use thereof. The anchoring system has movable/expandable jaw portions that can expand vertically (i.e., upward and downward relative to the respective superior and inferior surfaces of the cage) so that the cage can be more securely implanted in position. The superior and inferior expandable portions of the anchoring system move vertically by the rotation of one or more spindles that is incorporated in the jaw mechanism (and/or by the rotation of a lead screw that is incorporated in the cage). In some embodiments, the medical implant (such as a cage) is itself non-expandable (i.e., the height of the medical implant does not change). In other embodiments, the medical implant (such as a cage) can be expanded independently of the anchoring system.

An interbody spacer for spinal fusion surgery includes a body configured for insertion within an interbody space between two adjacent vertebrae. The body defines at least one fastener-receiving opening for receiving a fastener for securing the body within the interbody space. A blocking member is disposable in the fastener-receiving opening for preventing the fastener from being withdrawn from the fastener-receiving opening once the fastener has been fully inserted into the fastener-receiving opening.

A spinal implant insertion tool includes a handle portion and an attachment portion extending distally from the handle portion. A first attachment section on the attachment portion is adapted to secure a surgically sterile spinal plate to the spinal implant insertion tool. A second attachment section on the attachment portion is adapted to secure a surgically sterile spinal cage, so that the spinal plate and the spinal cage may be attached to the spinal implant insertion tool simultaneously. The second attachment section is sized to allow the spinal plate to pass over the second attachment section before the spinal plate is secured to the first attachment section.

A standalone anterior cervical interbody spacer (ACIF) that includes a spacer body and plate rigidly couple via flexible pins.

A surgical system includes a trial connected with a first image guide oriented relative to a sensor to communicate a signal representative of the trial relative to a patient anatomy. A tracking device includes the sensor and communicates with a processor to generate a storable image of the trial relative to the patient anatomy for display from a monitor. A spinal implant is connected with a second image guide oriented relative to the sensor to communicate a signal representative of the spinal implant relative to the patient anatomy. The sensor receives the signal of the second image guide and communicates with the processor to generate an image of the spinal implant in real time for display from the monitor in a configuration to align the spinal implant in real time with the stored image of the trial. In some embodiments, methods, spinal constructs, implants and surgical instruments are disclosed.

Intervertebral implant systems include spacers that may have solid and porous bodies integrally formed together as a single part. The bone-facing sides of the spacers include asymmetric lobes which may include solid and/or porous portions. Bone anchor holes may extend through the spacers and lobes, to receive bone anchors. A helically fluted bone anchor may be received in the bone anchor holes.

A surgical instrument comprises a first portion defining a cavity configured for disposal of a first implant support member. A second portion defines at least one passageway aligned with the cavity and including a guide engageable with a second implant support member to orient the second implant support member with the at least one passageway such that the second implant support member is connectable with the first implant support member. Systems, spinal constructs, spinal implants and methods are disclosed.

An interbody implant to be introduced into a variety of target sites for accelerating bone ossification, for example into a space between two adjacent vertebrae. The interbody implant includes a first bone contacting surface, a second bone contacting surface, a body defined between the first and second bone contacting surfaces, and a plurality of resonators. Mechanical waves, e.g., low intensity pulsed ultrasound waves, may be transmitted to the location of the implant, causing the resonators to resonate and accelerate bone ossification.